Related Experiment Video
Updated: Feb 16, 2026

Author Spotlight: Advancing Understanding of Age-Related Lens Stiffness Changes
Published on: April 5, 2024
DYNAMIC RETINA VESSEL COLOR CHANGE DURING OCULAR COMPRESSION IN SEVERE LIPEMIA RETINALIS
Maria Benson1, Robert W Wong1,2, Ryan C Young1,3
1Austin Retina Associates, Austin, Texas.
Insights
Dynamic color change in infant retinal vessels from white to coral pink was observed due to lipemia retinalis. This finding links disrupted laminar flow to altered blood appearance in familial hyperlipoproteinemia.
Area of Science:
- Ophthalmology
- Genetics
- Pediatrics
Background:
- Lipemia retinalis presents as milky-white retinal vessels.
- Familial hyperlipoproteinemia can cause severe lipid abnormalities in infants.
Observation:
- A 6-week-old infant with type 1b familial hyperlipoproteinemia exhibited lipemia retinalis.
- Externally applied ocular pressure induced a dynamic color change in retinal arteries from white to coral pink.
Findings:
- Genetic analysis identified a rare mutation in the APOC2 gene.
- The observed color change is attributed to disrupted laminar flow and intermixing of erythrocytes and chylomicrons.
Implications:
- This study is the first to describe this specific retinal vessel color change mechanism in lipemia retinalis.
- Highlights a rare case of congenital hyperlipidemia in nonconsanguineous offspring.
Purpose:
The aim of this study was to describe dynamic color change in retinal vessels from white to coral pink due to externally applied ocular pressure in a 6-week-old infant with lipemia retinalis secondary to type 1b familial hyperlipoproteinemia.
Methods:
Fundus images and fluorescein angiogram were taken with RetCam3 camera. Color photographs of pooled blood were taken during phlebotomy.
Results:
Genetic analysis revealed a rare genetic mutation in the APOC2 gene, a lipoprotein lipase activator. Intraocular pressure applied to the globe induced a color change in the retinal arteries from white to coral pink. Disruption in laminar flow leading to this change is described.
Conclusion:
This is the first report to attribute the retinal vessel color change to disrupted laminar flow and the intermixing of larger erythrocytes and smaller chylomicrons in a patient with lipemia retinalis. In addition, this is a rare example of congenital hyperlipidemia in the offspring of nonconsanguineous parents.
More Related Videos
Related Concept Videos
Global Climate Change
Colors and Magnetism
When atoms or molecules absorb light at the proper frequency, their electrons are excited to higher-energy orbitals. For many main group atoms and molecules, the absorbed photons are in the ultraviolet range of the electromagnetic spectrum, which cannot be detected by the human eye. For coordination compounds, the energy difference between the d orbitals often allows photons in the visible range to be absorbed and emitted, which is seen as colors by the human...
Color Vision
The Retina
Le Chatelier's Principle: Changing Concentration
Rates of Change

